Provider Demographics
NPI:1417948563
Name:SMITH, JOSHUA FRANKLYN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:FRANKLYN
Last Name:SMITH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:DUMC 3805
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-684-2426
Mailing Address - Fax:
Practice Address - Street 1:DUKE SOUTH, TRENT DRIVE
Practice Address - Street 2:PURPLE ZONE, CLINIC 1H
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713
Practice Address - Country:US
Practice Address - Phone:919-684-2426
Practice Address - Fax:919-684-3834
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC104040363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q22835Medicare UPIN